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N° 515 <br />Little Canada, Minnesota PAID <br />APPLICATION FORM Rec. No <br />Comprehensive Plan Amendment X Conditional Use Permit <br />Zoning District Amendment <br />Text Amendment <br />Other <br />Variance <br />Subdivision <br />Planned Unit Development <br />Plan Review <br />Applicant X \lYIC - E eSSeLl ��� ��VYKVUI11 Ic•((•,\(.. L.1�(�Ci�)IaC1�k I SY JS <br />(Name) I (Add ess) (Phone) <br />Owner An YIL i E /Inc.3S'ey /U1 Voc' Id-on r cE J- ''1-f�' (7/aorta.. 'LA (1-6? <br />(Name) (Address) (Phone) <br />Property Location (Street Address and Legal Description): <br />/L, 1 yo, (.( on \Clde_ <br />Description and /or Reason for Request (Cite Ordinance Sections): <br />UDLQ_ Ira r c i cd) \i.)„c ■'\ ek :) -(_c1 h Lk <br />Cam. <. ` i A > Cad <br />h J <br />V J <br />_ Hot 15 CE \ i i rk,/ (1 A C`l_f" -Et( <br />In signing this application, I hereby acknowledge that I have read and fully understand the applicable provisions of the Zon- <br />ing and Subdivision Ordinances and current administrative procedures. I further acknowledge the fee explanation as outlined <br />in the application procedures and hereby agree to pay all statements received from the City pertaining to additional applica- <br />tion expense. <br />(Signature of Appli <br />WHITE — Office CANARY — Customer PINK —File GOLD — Planner Page 1 <br />nt) <br />o, k2e0_, QI <br />(Date) <br />